NPI | 1386012466 |
---|---|
Other Name | BRITTA K THIESSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1969823) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 8787-33) |
363LF0000X Nurse Practitioner, Family (Licence: MN CNP 4144) | |
Enumeration Date | 2015-09-08 |
Last Update Date | 2021-06-21 |